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Delaware rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,806.41 / $1,874.37 / $2,124.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $3,006.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.56 / $2,395.88 / $3,422.69